| NPI | 1538645825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AMES CFO 404-964-8532 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 24730) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 24730) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-02-08 |